Workshop or Panel Presenter Interest Form

Printable version of this form




(if your organization sells products and services see the sponsor agreement below)









Please proved the following information:

1. Proposed Workshop Title (subject to editing by T/MC)

2. Session Description - Please provide a clear, concise 50 word summary that tells participants what to expect from the workshop. This will be used on the conference web site, invitation and program book.

3. Provide a detailed description of your workshop, who it is intended to serve (leaders, volunteers, etc.) and one or two lessons they might expect to take away from the workshop.

4. Provide a brief (100 word maximum) biography of each presenter and the organization you represent. If you or your organization are selling products and services, please review the sponsor agreement below.

5. What level of experience does this presentation address:

6. If your workshop is focused on organizations working with specific age groups, please indicate which age levels the workshop targets:

K-5 6-8 9-12

7. Audio Visual Needs: Please check only those items necessary for your presentation. The T/MC will make every effort to meet your request, but may need to discuss unusual requests on a case-by-case basis.

Flip chart and pens

Overhead projector and screen

Carousel slide projector

VCR and monitor

LCD projector

Laptop

Note : T/MC has only limited capacity to respond to requests for LCD projectors and laptop computers. If you are not able to provide your own LCD projector, contact T/MC for further guidance.

Presenter Release

By completing and submitting this online form, I am agreeing to the following:

I agree that any photos taken of me during this event can be used on the Internet to help T/MC promote future conferences and tutoring/mentoring

I agree that my workshop can be video taped, and that parts or all of the video can be put on the Internet for promotional, educational or motivational use

Upon acceptance of this proposal, the Tutor/Mentor Connection is hereby authorized to record and/or publish and sell a conference handbook and/or a conference CD, that includes any material presented during this session at the May 29 and 30, 2008 Tutor/Mentor Leadership Conference or eConference Overlay.

I DO NOT agree to have sessions recorded or materials republished or distributed by the Tutor/Mentor Connection or any other participant in this conference.

Vendor Workshops will not be available for November 2008